Ambassador Application

We Plan To Support (describe area - e.g. local, state, regional): *required

Same as Contact Address : required

Mailing Address: required

Publish Contact Phone Number?:

Accepting Packages Via:

Hospitals/Cancer Centers To Be Supported: required

Centers Have Been Contacted?:

Number of Hats Needed Per Center: required

Hats Required Every :

Please Help Us to Find Centers Needing Support in Our Area: required

Contact Me If New Centers in My Area Need Help: required

Use Contact Information Above: required

OR Use Below Contact Information: required

List 3-5 Things You Feel Your Chapter Will Do to Help Cancer Centers in Your Community: *required

Do You Have a Personal Connection to Cancer Survivorship?:

Would You Like To Share That Story With Us (if so, detail below): required

List 1-2 Ideas You Have for Fundraising For Your Chapter: *required

List Any Local or Regional Craft or Fiber Shows That You Might Want to Participate In: required

What Else Would You Like to Share in Consideration of your Chapter Application?: required

Halos of Hope was founded on a simple principle.
Extend comfort, joy and dignity to someone experiencing the hair
loss side effects of cancer treatments through the gift of a hand-crafted cap.
Our outreach began locally, expanded regionally, grew nationally,
but has always been focused on how we can collectively help those in our communities.

The Halos of Hope Angel Ambassador program is our way of continuing and sustaining growth and community contribution. Our local Ambassadors will be able to identify the needs of their communities and work with like-minded volunteers to benefit their local cancer centers, hospitals, infusion centers, oncology offices, or cancer-related non-profits in their areas.

Ambassadors must be at least 21 years of age or older and live in smoke-free homes.

Applications will be reviewed within 30-60 days of their receipt, and selected Ambassadors can expect to be notified of preliminary acceptance within that time frame. To finalize acceptance, we will ask chosen Ambassadors to review and accept the requirements, terms & conditions for their role.

If you would like to read Ambassador requirements, terms & conditions prior to submitting your application:

EIN: 26-2069635
A 501c(3) registered corporation"Halos of Hope" is a registered trademark with the U.S. Patent and Trademark office. Any use of the name, our logo, or associated language, without expressed written permission, is strictly prohibited.